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Brook Cove Phase 3 Lot 4Davie County, NC Tax Parcel Report Tuesday, November 8,2016 gh�lgAll data is provided as is witlarguments argum is of any kind eltherexpreased or implied! Including but not limited to the Davie County, implied wawardles 0 merchantability orAhressfor a padiwleruse. All users of Davie Coumys GIS %mone a shall held harmless the County of Davie, Nath Carolina, its agents, wnwlhrdn, contractor cremployws from any and all Nelms or causes of action due to r'pDN.� NC overhang outof the useorinablity to use the GIS data provided by this webaft WARNING: THIS IS NOT A SURVEY r_-_._ Parcel Information Parcel Number: G3060D0004 • Township: Mocksville NCPIN Number: 5729295750 Municipality: Account Number: 82516498 Census Tract: 37059-606 Listed Owner 1: SOLIS JENNIFER Voting Precinct: NORTH MOCKSVILLE COUNTY Mailing Address 1: 171 TARA COURT Planning Jurisdiction: Davie County City: MOCKSVILLE Zoning Class: DAVIE COUNTY R -A State: NC Zoning Overlay: Zip Code: 270285382 Voluntary Ag. District No Legal Description: TRACT 4 BROOK COVE PHASE THREE Fire Response District: WILLIAM R. DAVIE Assessed Acreage: 4.84 Elementary School Zone: WILLIAM R DAVIE Deed Date: 4/2003 Middle School Zone: NORTH DAVIE Deed Book/Page: 010074854' Soil Types: PcC2,CeB2 Plat Book: 0007 Flood Zone: Plat Page: 041 Watershed Overlay: DAVIE COUNTY Building Value: 0.00 Outbuilding & Extra 0.00 Freatures Value: Land Value: 52340.00 Total Market Value: 52340.00 Total Assessed Value: 52340.00 gh�lgAll data is provided as is witlarguments argum is of any kind eltherexpreased or implied! Including but not limited to the Davie County, implied wawardles 0 merchantability orAhressfor a padiwleruse. All users of Davie Coumys GIS %mone a shall held harmless the County of Davie, Nath Carolina, its agents, wnwlhrdn, contractor cremployws from any and all Nelms or causes of action due to r'pDN.� NC overhang outof the useorinablity to use the GIS data provided by this webaft APPLICATION FOR SITE EVALUATION/IMPROVEMENT. PERMIT& AT LS L% 15 U W Iq Davie County Health Department EnvironmentaiHealth Secdon JM 2 4 1%9 P.O. Box 848/210 Hospital Streets Mockaville, NC 27028 1I/�9� ENVIRONMENTAL HEALTH (336) 751-8760 j DAVIE COUNTY 1PA ***ZMPCRTAN'T*** THIS APPLICATION CANNOT BE PROCLFSSkD UNLESS ALL THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. 1. Name to bs Billed LWtIZZ, Contact Person �, 57Q /I� e— Meiling Address l/1 .� u� Homo Phone l /}�f — T? 7— 7 City/state/HIP rFJ�l14.C1 (ir Business Phone 2. Name on Permit/ATC if Different than Mailing Address City/state/Sip 3. Application For: 91"SSite Evaluation ❑ Improvement Permit/ATC ❑ Both 4. system to Service: WHouse ❑ Mobile Rome ❑ Business ❑ Industry ❑ Other S. If Residence: # People d # Bedrooms � # Bathrooms P/Dishwashor ❑ 6arbags Disposal Er/Washing Machine Wl;a arrant/Plumbing 0 Basement/No Plumbing 6. If Business/Industry/Other: Specify type # People # sinks # Commodes # showers # Urinals # water Coolers IF FOODSERVICE: # Seats Estimated Slater Usage (gallons Par day) 7. Type of water supply: ❑ County/City R Stell ❑ Community e. Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes ❑ No If yes, what type? ***IMPORTANT***CLIENTS MIISTCOMPLETETHE REQUIRED PROPERTY INFORMATION REQUESTED BELOW. Either a PLAT or SITE PLAN MUST BESUBbIITTPD by the client with THIS APPLICATION. Property Dimensions: Sy 0//3 4; // t Tax Office PIN: # 5�z2p Property Address: Road Name kdi, City/Zip If in Subdivision provide Information, as follows: Name: 2 Aa 624'r'. flloay?;L Section: 3 Block: Lot: lT WRITE DIRECTIONS (from Mocksville) to PROPERTY: I 01A // r Date Property Flagged: 6 - 2 1 -R9 This is to certify that the information provided is correct to the best of my knowledge. I understand that any permit(s) Issued hereafter are subject to suspension or revocation, if the site plans or intended use change, or if the information submitted in this application Is falsified or changed. I, also, understand that I am responsible for all charges incurred from this application. I, hereby, give consent to the Authorized Representative of the Davie County Health Department '. to enter upon above described property located In Davie County and owned by to conduct all testing procedures as necessary to determine the site suitability. DATE 6 - 2 - `f 9 SIGNATURE i/gZ,,tE &=a(Z_/// _ THIS AREA MAY BE USED FOR DRAWING YOUR SITE PLAN (Include all of the following: Existing and proposed property lines and dimensions, structures, setbacks, and septic locations). Site Revisit Charge Client Notification Date: EHS: Revised DCHD (07/99) Account No. �7 Invoice No. AREA = 5.500 AC. 268. La m o/ n y E/ that this plot was drown an actual survey made —1 description recorded in etc.) (other):that the 'e clearly indicated as drawn Book _, Page _; that is calculated as 1: 0 in accordance with G.S. sass my original signature, iiiiiiial l i dol of 76yor Registrat;on Number L-2527 TRACT #4 AREA = 5.010 AC. L/ 0 0 L _ to FOR INGRESS AND � C4S�f (PROPOSED) SS o e I TRACT #3 Z AREA = 5.165 AC. AMOS S. BROWN (D.B.(BY 11 P9- 115) 115) CENTER OF 60' EASEMENT DATA LINE BEARING DISTANCE Ll S 84'01'42 E 73.57 L2 N 7507'25" E 50.00 L3 N 61'33'36" E 50.00 L4 N 40'57'51" E 100.74 L5 N 63'58'54" E 35.52 L6 N 63'58'54" E 129.15 L7 N 70'53'02" E 120.85 L8 N 71753'02" E 54.95 L9 N 81'57'33' E 160.28 L10 S 82'40'01" E 165.02 L11 S 8709'26" E 310.75 L12 S 82'09'26" E 130.08 L13 S 8709'26' E 272.45 M m.m ori+• n•.v.....� 4 44. .W IN uFOR j�RIVATE ACCESS EASEk, I � I 1 I T p— INGRESS NIS 1 \ 0 ERE OF tT'B. 7 1 \ (EkPgG) oet 2 . 7 p9. J) I I \ ll ah, tn� tsa 000* a V1� 1 n' Tract 1F1 1 \ \ '01 4 BROOK COVE, PHASE TWO \ `\ a1 45 \ PLAT BOOK 7 PAGE 7 1 M�'#Zlc NOTES. O = existing iron stake 0 = new iron stake set + = unmarked point in center of esoemeni No N.C.G.S. monument within 2000' MINIMUM SETBACK UNES: Front = 40' Rear = 30' Side = 15' This parcel and all adjoining parcels are zoned R-20 and RA Road constnirtion is to m..+ tho nnv;. r:n As R �: DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section ' SoiVSite Evaluation A'PPLIC'ANT INFORMATION (, Account #e 989900214 Billed To: Eugene Bennett Reference Name: Eugene Bennett Proposed Facility: Residence PROPERTY INFORMATION Tax PIN/EH #: 5729-29-5750 Subdivision Info: Brook Cove Ph.11l Lot # 4 Location/Address: Mebbs Trail -27028 ^�n Property Size: 5.010 Acres Date Evaluated: Water Supply: On -Site Well ✓ Community. Public Evaluation By: Auger Boring pit Cut VAl nnv 31 In i,LA�srt'1CA'1'ION: C ' LONG-TERM ACCEPTANCE RATE: -0• `t REMARKS: rA EVALUATION BY OTHERS) PRESENT: -' lit J T- 'df3�ln -w Landscape Pasition U LEUEND R - Ridge S - Shoulder L - Linear slope FS - Foot slope N - Nose slope CC - Concave slope CV - Convex slope T - Terrace FP - Hood plain TextureH -Head slope S - Sand LS - Loamy sand SL - Sandy loam L - Loam SI - Silt SICL - Silty clay loam SIL - Silty loam CL - Clay loam SCL -Sandy clay loam SC - Sandy clay SIC - Silty clay C - Clay Moist CONSISTPN VFR - Very friable FR - Friable FI - Firm VFI - Very firm EFI - Extremely firm Wet NS - Non sticky SS - Slightly sticky S - Sticky VS - Very Sticky NP - Non plastic SP - Slightly plastic P - Plastic VP - Very plastic Structure SC - Single grain M - Massive CR - Crumb OR - Granular ABK - Angular blocky SBK - Subangular blocky PL - Platy PR - Prismatic Mintralogy 1:1, 2:1, Mixed Notes Horizon depth - In inches Depth of rill - In inches Restrictive horizon - Thickness and inches from land surface Saprolite - S(suitable), U(unsuitable) Soil wetness - Inches from land surface to free water or inches from land surface to soil colors with chroma 2 or less Classification - S(suitable), PS(provisionally suitable), U(unsuitable) LTAR - Long-term acceptance rate - gaVday/ft2 bcHb (Revised 05/99) ■■■■■■■■■■■t■■■■■■■■■t■■■■t■■■■■t■■■■t■■■t■■te■■■■■■■t■■t■t■■■■■e■ ■■■■■■■e■■■■■■■■■■■t■■■■ees■■est■■■■■■■■■■■■t■■■t■■tt■■see■■■■■■■■ ■■■■■■■■■s■■o■■■■■et■■■■aoem■■■■■■■■■■■■tt■■■■■■t■■■■t■■■ttttlot■■ ■■t■■to■soft■■■■■■eeeee■■■■■■e■■�ea■■tet■■■■■■■■t■■■■■e■■■os■■■■■ ■■■t■■t■■■■tt■■■■t■■te■t■■■■tet■■■■■■■■■■■■■■■e■e■■t■■■ttt■■■■■■■■ ■■■e■■e■■■■■■■■■■t■■■tee■■■■■■■■ ■■■■■■■■■■■ee■teeee■■■■■■■e■■■■■ ■■■■■■■■■■■■■tt■■■■■t■■■■■■■■■■■■■■■tet■■■■■■■■■■t■■■■■■■■■■■■■■t■ ■■■■■■■■■■■■■■e■■■eee■■■■■■■ee■■■■■■■■eeeeee■■■■teeeeee■■eee■ee■■■ ■■■■■■■■■e■■■■■■■■■■■tet■■■■■■■■■■■■■tt■■■e■■s■■■■■■■■■■te■■■■■e■■ MENNENiiiiiiMENNENiiiiiiiisiiiMENNENiiiiii ■t■■■■■t■t■■■■■■■■■■e■■■■ttee■ete■tet■■■■■■e■t■e■e■■■■■■■■■■■■■■■■ ■■t■e■lftfsa��il�ie�i:l:�_:::_==:_�!�!!die■■■�■itl[ete■■■■■■■■■■■■■■ !■e�■■■■■�■��■��■■■■■■erl■■■■■■■flet![■■■rte[reiiieiti.71:5`N1■■tett■■■■■■ [■■t■■t■■■■■■■t■■■■■■■tI■■■■■Ck9t!!tl[■�cN►itt■■t■■■■■l\Jt■tttt■■■t■■■ [■■■■■■t■■■■■■■eget■■■tl■t■■■■I■■ .. ■■r'JI■■■■■■■■■■eee:■■■■■■■■■■■■■ ■elft■■■■■te■tet■■■■CI[le■■■■tee■JetC�■■■■■■ee■■■■■t■■■■■■■■■■■■■■■ ■■t■■■■e■t■■■■■'Jt;�1[>��n,\�■t■■■■■■tt11!,11■■■■■■■■■■■t■tt■■■■■■■■■■■■■■■ ■■■■■■■t■so■■■■��ei■■■■■■■■■■tte.■■■tett■■■■e■■■■■■■■■■■■■■■■■■e Ile■■■t■■■■■■■■■■■■■■■■■■■■■■■■■■t■■■■■■■■■■■■■■■■■■tt■t■■■■■■et■■■ [It■■■■■■■■■■■■■■■■■■■■■■■t■■■■t■■■■■■■et■■■■■■■■■■t■■t■■tt■■tt■■■■ ■tee■ee■■eeeeeeeeeeeeeeee■tae■■■■ecce■■eeeee■■eeeeeeeeeee■■■■■■■ee■ ommom■■■■■■■■■■■■■■■■■e■■■■■e■■■e■■■■■tee■■■■tees■■■eeeee■■■e■■■■■■■ee■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■t■■■e■■■■■■■■■■■■■■■■■■■ [I■■■■tee■■■■■■■■■t■■■■t■■■e■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■tt■■■■■t■ Davie Gount0fealth Department Environmental ,Health Section PO Box 848 / 210 Hospital street Mocic"Me, NC 27078 .Phone: (336)751-8760 July 6, 1999 Mr. Eugene Bennett 107 Nail Lane Mocksville, NC 27028 Re: Site Evaluation -5.010 Acre Tract Brook Cove Phase III/Lot #4 Tax PIN #: 5729-29-5750 Dear Mr. Bennett: As requested, a representative from this office visited the aforementioned site on July 2, 1999. Based on the information provided on the Application for Site Evaluation and after the evaluation was completed, the site was found to be provisionally suitable for the installation of an on-site sewage disposal system. Before a representative of this office will revisit the site to issue an Improvement Permit/Authorization to Construct the appropriate application must be completed in full and submitted to this office. The location of the facility the system is to serve must be staked off. If you have any questions, feel free to contact this office at (336)751-8760. Sincerely, !$ I Jeff G. Beauchamp, R.S. Environmental Health Section enc(s) APPLICATION FOR SITE EVALUATION/IMPROVEMENTS Davie County Health Department Environmental Health Section P. O. Box 665 Mocksville, NC 27028 ,Eta It�ll 17 rcr J F elk\ CObiJTY H .,,,LT'f D,r??J I;d 1. Application/Permit Requested BB�y// -` ) t V Mallin g Address I Y 0. 1 - B A C rn C S U I I I C V �' 0 �- I� Home Phone Business Phone, 17 ' 2. Name on Permit it Different than Above i 3. Application/Permit for: General Evaluation ❑ Septic Tank Installation, , ' 4. System to Serve: I House ❑ Mobile Home .❑ Place of Public Assembly. j O.Business ❑ Indust ❑ Oth r ❑ Unknown 5.1 I(house, mobile home:Subdivision (� (� Q 00 OV Section Lot # r ❑ Basement/Plumbing. " No. of People ❑ Basemenl/No Plumbing (} No. of Bedrooms ❑ Washing Machine No. of Bathrooms ❑ Dishwasher Dwelling Dimensions ❑,Garbage Disposal 6. It business, Industry, place of public assembly, other: Specify type .,.No. of. People.Served _ No. of Sinks _ No of Commodes No, of Urinals 4 :` No. of Lavatories No. of Water Coolers •Y,i,: No, of Showers Water Usage Figures 7, Type of water supply: 19/ Public ❑ Private ❑ Community l' ` S. Property Dimensions _ 'Sewage Disposal Contractor 9. Do you anticipate additions/expansion of the facility this sylem is intended to serve? ❑ Yes ❑ No It yes, what type? - ;NOTE:Improvements Permits shall be valid for a period of 5 years from dale Issued. Improvements Permits are'subject'lo revocation, it site plans or the Intended use change. Effective October 1, 1989. Directions to Properly: IV 1 aClllnhcc•-.116�IVC �. o� rIA41- e-,. KC.�U.0 e c.I b -m !- {rNr LPrw �avviceti �v d'Gcci . ��t'ir�.2v /GRs•✓ /%Icaro� - �,,. �. 8am i. This is to certify that the information provided is correct to the best of my knowledge, and I understand I am responsible for all charges: ingurred from this application. QdJSIGNATURE i. CONSENT F( R SITE EVALUATION TO BE DONE ON ABOVE DES_ CRIBED PQGPERTY MUST CHECK ONE: ❑ 1. 1 OWN the property. 2. I DON9T OWN the properly. If you checked Box 712, the rest of this form MMH be completed by the owner -'or a porson authorized by the owner: I hereby give consent to the authorized representative of the Davie County Health Department to enter upon above described property located in Davie County and owned by <<. .�k )` t+ r• '.1 i' to conduct all testing procedures as necessary to elermine said site' suitability for a ground absorption sewage treatment and disposal system. �.AWAN DC110(12.80) DAVIE COUNTY HEALTH DEPARTMENT ! Environmental Health Section Soil/Site Evaluation NAME +� C DATE EVALUATED ADDRESS p\\� Q PROPERTY SIZE PROPOSED FACIILTY RSA LOCATION OF SITE Water Supply: On -Site Well - _ Communi y Public V - Evaluation By:CAuger Boring - Pit - - Cut FACTORS 1 2 3 1 4 Landscape position S Slope z HORIZON I DEPTH Texture group LC Consistence FIX Structure (Z R Mineralogy HORIZON II DEPTH Texture groupC Consistence L h Structure kI IDM'r' Mineralogy1 HORIZON III DEPTH Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS Ss RESTRICTIVE HORIZON -- SAPROLITE CLASSIFICATION LONG-TERM ACCEPTANCE RATE SITE CLASSIFICATION: V 'S• �p EVALUATED BY: Jecm�t^�l�n LONG-TERM ACCEPTANCE RATE: 1 OTHER(S) PRESENT: ,v REMARKS: _ LEGEND Landscape Position - - - -- R -Ridge S: -Shoulder L -Linear slope FS -Foot slope N -Nose slope - CC -Concave slope CV -Convex slope .T -Terrace FP -Flood plain H -Head slope _Texture S -Sand LS -Loamy sand SL -Sandy loam L -Loam SI -Silt .. .. SICL-Silty clay loam SIL -Silty loam CL -Clay loam -SCL-Sandy clay loam SC -Sandy clay SIC -Silty clay C -Clay - CONSISTENCE Moist - - VFR-Ne-y friable - _ FR -Friable FI -Firm - VFI-Very firm_- EFI-Extremely firm -. Wet .. .. NS -Non sticky SS -Slightly sticky S -Sticky VS -Very Sticky NP -Non plastic SP -Slightly plastic P -Plastic., VP -Very plastic - Structure _ - - 3C -Single grain M -Massive CR -Crumb GR -Granular ABK-Angular blocky SBK-Subangular blocky PL -Platy PR -Prismatic Mineralogy - - 1:1, 2:1, Mixed Notes Ilorizon depth - In inches Depth of fill - In inches Restrictive horizon - Thickness and inches from land surface Saprolite - S(suitable), U(unsuitable) Soil wetness - Inches from land surface to free water or inches from land surface to soil colors with chroma 2 or less ' Classification - S(suitable), PS(provisionally suitable), U(unsuitable) LTAR - Long-term acceptance rate - gal/day/ft2 DCHD(01-901 ■...■■■■■■■■■■.■....■■■■■■■t..�:.■MM.■■.■■■o■■■.■■■■■■■■■MOs■■■■.■■ ■..■■■■■■■■■■■■■■■■.■■■■■■■■■..■.■■.■■■■.■■■■■■■■EE■■■EE■■■■.■E■■■ EEEEEEEEEE� EEEEEEEEEEEEEE EEEEEEEEEEEEEMEN EEMEN EEE CEEEMMEM CE.................................................................. 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